Individual
DR. SAURABH SHANKAR CHIWANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017005744
MO
208000000X
Pediatrics Physician
4301094393
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2017005744
MO
2080P0203X
Pediatric Critical Care Medicine Physician
4301094393
MI
Other
Enumeration date
08/28/2009
Last updated
03/11/2021
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